Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-October through December 2021, 7458-7471 [2022-02677]
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7458
Federal Register / Vol. 87, No. 27 / Wednesday, February 9, 2022 / Notices
(OMB control number: 0938–1249);
Frequency: Annually; Affected Public:
Public sector (Individuals and
Households); Private sector (Business or
other for-profits and Not-for-profit
institutions); Number of Respondents:
314; Total Annual Responses: 314; Total
Annual Hours: 384,014. For policy
questions regarding this collection
contact Nidhi Singh Shah at 301–492–
5110.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Dated: February 4, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
AGENCY:
[FR Doc. 2022–02738 Filed 2–8–22; 8:45 am]
BILLING CODE 4120–01–P
[CMS–9133–N]
It is
possible that an interested party may
need specific information and not be
able to determine from the listed
information whether the issuance or
regulation would fulfill that need.
Consequently, we are providing contact
persons to answer general questions
concerning each of the addenda
published in this notice.
FOR FURTHER INFORMATION CONTACT:
Medicare and Medicaid Programs;
Quarterly Listing of Program
Issuances—October through
December 2021
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
This quarterly notice lists
CMS manual instructions, substantive
and interpretive regulations, and other
SUMMARY:
Addenda
Contact
I CMS Manual Instructions ..............................
II Regulation Documents Published in the
Federal Register.
III CMS Rulings ...............................................
IV Medicare National Coverage Determinations.
V FDA-Approved Category B IDEs .................
VI Collections of Information ...........................
VII Medicare –Approved Carotid Stent Facilities.
VIII American College of Cardiology-National
Cardiovascular Data Registry Sites.
IX Medicare’s Active Coverage-Related Guidance Documents.
X One-time Notices Regarding National Coverage Provisions.
XI National Oncologic Positron Emission Tomography Registry Sites.
XII Medicare-Approved Ventricular Assist Device (Destination Therapy) Facilities.
XIII Medicare-Approved Lung Volume Reduction Surgery Facilities.
XIV Medicare-Approved Bariatric Surgery Facilities.
XV Fluorodeoxyglucose Positron Emission
Tomography for Dementia Trials.
All Other Information .........................................
Ismael Torres ...................................................
Terri Plumb .......................................................
(410) 786–1864
(410) 786–4481
Tiffany Lafferty ..................................................
Wanda Belle, MPA ...........................................
(410)786–7548
(410) 786–7491
John Manlove ...................................................
William Parham ................................................
Sarah Fulton, MHS ...........................................
(410) 786–6877
(410) 786–4669
(410) 786–2749
Sarah Fulton, MHS ...........................................
(410) 786–2749
JoAnna Baldwin, MS ........................................
(410) 786–7205
JoAnna Baldwin, MS ........................................
(410) 786–7205
David Dolan, MBA ............................................
(410) 786–3365
David Dolan, MBA ............................................
(410) 786–3365
Sarah Fulton, MHS ...........................................
(410) 786–2749
Sarah Fulton, MHS ...........................................
(410) 786–2749
David Dolan, MBA ............................................
(410) 786–3365
Annette Brewer .................................................
(410) 786–6580
SUPPLEMENTARY INFORMATION:
Association of Insurance Commissioners
(NAIC), health insurers, and other
stakeholders. To implement the various
statutes on which the programs are
based, we issue regulations under the
authority granted to the Secretary of the
Department of Health and Human
Services under sections 1102, 1871,
1902, and related provisions of the
Social Security Act (the Act) and Public
Health Service Act. We also issue
various manuals, memoranda, and
statements necessary to administer and
oversee the programs efficiently.
Section 1871(c) of the Act requires
that we publish a list of all Medicare
manual instructions, interpretive rules,
statements of policy, and guidelines of
general applicability not issued as
regulations at least every 3 months in
the Federal Register.
I. Background
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Centers for Medicare & Medicaid
Services
Federal Register notices that were
published from July through September
2021, relating to the Medicare and
Medicaid programs and other programs
administered by CMS.
The Centers for Medicare & Medicaid
Services (CMS) is responsible for
administering the Medicare and
Medicaid programs and coordination
and oversight of private health
insurance. Administration and oversight
of these programs involves the
following: (1) Furnishing information to
Medicare and Medicaid beneficiaries,
health care providers, and the public;
and (2) maintaining effective
communications with CMS regional
offices, state governments, state
Medicaid agencies, state survey
agencies, various providers of health
care, all Medicare contractors that
process claims and pay bills, National
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II. Format for the Quarterly Issuance
Notices
This quarterly notice provides only
the specific updates that have occurred
in the 3-month period along with a
hyperlink to the full listing that is
available on the CMS website or the
appropriate data registries that are used
as our resources. This is the most
current up-to-date information and will
be available earlier than we publish our
quarterly notice. We believe the website
list provides more timely access for
beneficiaries, providers, and suppliers.
We also believe the website offers a
more convenient tool for the public to
find the full list of qualified providers
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Federal Register / Vol. 87, No. 27 / Wednesday, February 9, 2022 / Notices
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for these specific services and offers
more flexibility and ‘‘real time’’
accessibility. In addition, many of the
websites have listservs; that is, the
public can subscribe and receive
immediate notification of any updates to
the website. These listservs avoid the
need to check the website, as
notification of updates is automatic and
sent to the subscriber as they occur. If
assessing a website proves to be
difficult, the contact person listed can
provide information.
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III. How To Use the Notice
This notice is organized into 15
addenda so that a reader may access the
subjects published during the quarter
covered by the notice to determine
whether any are of particular interest.
We expect this notice to be used in
concert with previously published
notices. Those unfamiliar with a
description of our Medicare manuals
should view the manuals at https://
www.cms.gov/manuals.
The Director of the Office of Strategic
Operations and Regulatory Affairs of the
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7459
Centers for Medicare & Medicaid
Services (CMS), Kathleen Cantwell,
having reviewed and approved this
document, authorizes Trenesha FultzMimms, who is the Federal Register
Liaison, to electronically sign this
document for purposes of publication in
the Federal Register.
Trenesha Fultz-Mimms,
Federal Register Liaison, Department of
Health and Human Services.
BILLING CODE 4120–01–C
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How to Obtain Manuals
The Internet-only Manuals (IOMs) are a replica of the Agency's
official record copy. Paper-based manuals are CMS manuals that were
officially released in hardcopy. The majority of these manuals were
transferred into the Internet-only manual (IOM) or retired. Pub 15-1, Pub
15-2 and Pub 45 are exceptions to this rule and are still active paper-based
manuals. The remaining paper-based manuals are for reference purposes
only. If you notice policy contained in the paper-based manuals that was
not transferred to the IOM, send a message via the CMS Feedback tool.
Those wishing to subscribe to old versions of CMS manuals should
contact the National Technical Information Service, Department of
Commerce, 5301 Shawnee Road, Alexandria, VA 22312 Telephone
(703-605-6050). You can download copies of the listed material free of
charge at: https://cms.gov/manuals.
Fee-For Service Transmittal Numbers
Please Note: Beginning Friday, March 20, 2020, there will be the
following change regarding the Advance Notice of Instructions due to a
CMS internal process change. Fee-For Service Transmittal Numbers will
no longer be determined by Publication The Transmittal numbers will be
issued by a single numerical sequence beginning with Transmittal Number
10000.
For the purposes of this quarterly notice, we list only the specific
updates to the list of manual instructions that have occurred in the 3-month
period. This information is available on our website at
www.crns.gov/Manuals.
Transmittal
Number
11136
Manual/Subject/Publication Number
Update to Medicare Deductible, Coinsurance and Premium Rates for
Calendar Year (CY) 2022
None
How to Review Transmittals or Program Memoranda
Those wishing to review transmittals and progrnm memoranda can
access this information at a local Federal Depository Library (FDL). Under
the FDL program, government publications are sent to approximately 1,400
designated libraries throughout the United States. Some FDLs may have
arrangements to transfer material to a local library not designated as an
FDL. Contact any library to locate the nearest FDL. This information is
available at https://www.gpo.gov/librnries/
In addition, individuals may contact regional depository librnries
that receive and retain at least one copy of most federal government
11119
National Coverage Determination (NCU) 270.3 Hlood-Uerived Products for
Chronic, Non-Healing Wounds
12376
Revisions to Chapters 13, 18 And 32 To Update Coding
Coverage for PET Scans for Dementia and Neurodegenerative Diseases
Screening Pap Smears: Diagnoses Codes
MSN Messages
Remittance Advice Codes
Screening Pelvic Examinations From January 1, 1998, Through June 30
2001
Diagnoses Codes
MSN Messae:es
Federal Register / Vol. 87, No. 27 / Wednesday, February 9, 2022 / Notices
17:29 Feb 08, 2022
Addendum I: Medicare and Medicaid Manual Instructions
(October through December 2021)
The CMS Manual System is used by CMS progrnm components,
partners, providers, contractors, Medicare Advantage organizations, and
State Survey Agencies to administer CMS progrnms. It offers day-to-day
operating instructions, policies, and procedures based on statutes and
regulations, guidelines, models, and directives. In 2003, we transformed the
CMS Program Manuals into a web user-friendly presentation and renamed
it the CMS Online Manual System.
publications, either in printed or microfilm form, for use by the general
public. These librnries provide reference services and interlibrary loans;
however, they are not sales outlets. Individuals may obtain information
about the location of the nearest regional depository librnry from any
library. CMS publication and transmittal numbers are shown in the listing
entitled Medicare and Medicaid Manual Instructions. To help FDLs locate
the materials, use the CMS publication and transmittal numbers. For
example, to find the manual for Update to Medicare Deductible,
Coinsurance and Premium Rates for Calendar Year (CY) 2022, use
(CMS-Pub. 100-01) Transmittal No. 11136.
Addendum I lists a unique CMS transmittal number for each
instruction in our manuals or progrnm memoranda and its subject number.
A transmittal may consist of a single or multiple instruction(s). Often, it is
necessary to use information in a transmittal in conjunction with
information currently in the manual.
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Publication Dates for the Previous Four Quarterly Notices
We publish this notice at the end of each quarter reflecting
information released by CMS during the previous quarter. The publication
dates of the previous four Quarterly Listing of Progrnm Issuances notices
are: March 17, 2021 (86 FR 14629), May 3, 2021 (86 FR 23373), August
17, 2021 (86 FR 45986) and November 18, 2021 (86 FR 64492). We are
providing only the specific updates that have occurred in the 3-month
period along with a hyperlink to the website to access this information and a
contact person for questions or additional information
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Carotid Artery Stenting fCAS] for Post-Approval Studies
510k Post-Approval Extension Studies using 510k-Cleared Embolic
Protection Devices during Carotid Artery Stenting [CAS] Procedures
Intracranial Percutaneous Transluminal Angioplasty [PTA] With Stenting
Billing Requirements
Payment Requirements
Hospital Billing Instructions
Practitioner Billing Instructions
Claims Processing System Editing
Claims Processing Requirements for OPT with Verteporf"m Services on
Professional Claims and Outpatient Facility Claims
Claims Processing Requirements for OPT with V crtcporf"m Services on
Inpatient Facility Claims
Coding and Claims Processing for MTW A
Quarterly Update for the Durable Medical Equipment (DME), Prosthetics,
Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) Januarv 2022
Issued to a specific audience, not posted to Internet/Intranet due to a
Sensitivitv of Instruction
Instructions for Downloading the Medicare ZIP Code File for Januarv 2022
Revisions to Chapters 3, 18, and 32 to Update Coding
Issued to a specific audience, not posted to Internet/Intranet due to a
Sensitivitv of Instruction
Issued to a specific audience, not posted to Internet/Intranet due to a
Sensitivitv of Instruction
Issued to a specific audience, not posted to Internet/Intranet due to a
Confidentialitv of Instruction
Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS)
Updates for Fiscal Year (FY) 2022
Annual Update
Cost-of-Living
Issued to a specific audience, not posted to Internet/Intranet due to a
Confidentialitv of Instruction
Calendar Year (CY) 2022 Participation Enrollment and Medicare
Participating Phvsicians and Suooliers Directorv (MF.DP ARD) Procedures
Ambulance Inflation Factor (AlF) for Calendar Year (CY) 2022 and
Productivilv Adiustmenl
Issued to a specific audience, not posted to Internet/Intranet due to a
Confidentialitv of Instruction
Issued to a specific audience, not posted to Internet/Intranet due to a
Confidcntialitv of Instruction
Issued to a specific audience, not posted to Internet/Intranet due to a
Confidentiality of Instruction
2022 Annual Update of Healthcare Common Procedure Coding System
(HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing
(CB)Update
Issued to a specific audience, not posted to Internet/Intranet due to a
Sensitivitv of Instruction
April 2022 Update to the Java Medicare Code Editor (MCE) for :'-l"ew Edit 20Unspecified Code Edit Medicare Code Editor (MCE)
Issued to a specific audience, not posted to Internet/Intranet due to a
Confidentialitv of Instruction
Issued to a specific audience, not posted to Internet/Intranet due to a
Confidentialitv of Instruction
Issued to a specific audience, not posted to Internet/Intranet due to a
Confidentiality of Instruction
Federal Register / Vol. 87, No. 27 / Wednesday, February 9, 2022 / Notices
17:29 Feb 08, 2022
EN09FE22.001
Diagnosis Coding
Remittance Advice Notices
Counseling to Prevent Tobacco Use
Healthcare Common Procedure Coding System [HCPCS] and Diagnosis
Coding
A/B MACs [BJ Billing Requirements
A/B MAC [A] and [HHH] Billing Requirements
Claims Adjustment Reason Codes [CARCs], Remittance Advice Remark
Codes [RARCs ], Group Codes, and Medicare Summary Notices [MSNs]
Common Working File [CWF]
Diagnosis Code Reporting
Billing Requirements
Claim Adjustment Reason Codes [CARCs ], Remittance Advice Remark
Codes [RARCs ], Group Codes, and Medicare Summary Notice [MSN]
Messages
Common Working File [CWF] Edits
Ambulatory Blood Pressure Monitoring [ABPM] Billing Requirements
Billing Requirements for HBO Therapy for the Treatment of Diabetic
Wounds of the Lower Extremities
Bill Types
Allowable Covered Diagnosis Codes
Allowable Covered Procedure Codes
Healthcare Common Procedure Coding System [HCPCS]
Coverage for PET Scans for Dementia and Neurodegenerative Diseases
Special Billing and Payment Requirements for A/B MACs [A]
A/B MACs [BJ Billing Requirements
Ail:l MAC lAJ and lHHHJ l:lilling Requirements
Claims Adjustment Reason Codes [CARCs], Remittance Advice Remark
Codes [RARCs ], Group Codes, and Medicare Summary Notices [MSNs]
Common Working File [CWF]
Diagnosis Code Reporting
Billing Requirements
Claim Adjustment Reason Codes [CARCs], Remittance Advice Remark
Codes [RARCs ], Group Codes, and Medicare Summary Notice [MSN]
Messages
Common Working File [CWF] Edits
Ambulatory Blood Pressure Monitoring [ABPM] Billing Requirements
Billing Requirements for HBO Therapy for the Treatment of Diabetic
Wounds of the Lower Extremities
Bill Types
Allowable Covered Diagnosis Codes
Allowable Covered Procedure Codes
Healthcare Common Procedure Coding System [HCPCS]
Coverage for PET Scans for Dementia and Neurodegenerative Diseases
Special Billing and Payment Requirements for A/B MACs [A]
Diagnosis Codes
Editing Instructions for AIB MACs [A
Correct Place of Service [POS] Code for PR Services on Professional Claims
Requirements for PR Services on Institutional Claims
Edits for PR Services Exceeding 72 Sessions
ICD Procedure Codes for Bariatric Surgery for Treatment of Co- Morbid
Conditions Related to Morbid Obesity [A/MACs only
!CD Diagnosis Codes for Bariatric Surgery
ICD Diagnosis Codes for BMI □ 35
!CD Codes for Type II Diabetes Mellitus Complication
Claims Guidance for Payment
Medicare Summarv Notices [MSNs] and Claim Adjustment Reason Codes
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Chronic, Non-Healing Wounds
Autologous Platelet-Rich Plasma (PRP) for Chronic Non-Healing Wounds
Policy
Healthcare Common Procedure Coding System (HCPCS) Codes, Diagnosis
Coding and Frequency Requirements
Types of Bill (TOB)
Payment Method
Place of Service (POS) for Professional Claims
Combined Common Edits/Enhancements Modules (CCEM) Code Set Codate
Issued to a specific audience, not posted to Internet/Intranet due to a
Confidentiality of Instruction
Issued to a specific audience, not posted to Internet/Intranet due to a
Sensitivity of Instruction
Reduced Payment for Physical Therapy and Occupational Therapy Services
Furnished In Whole or In Part by a Physical Therapist Assistant (PTA) or
Occupational Therapy Assistant (OTA) Discipline Specific Outpatient
Rehabilitation Modifiers - All Claims
Issued to a specific audience, not posted to Internet/Intranet due to a
Sensitivity of Instruction
Issued to a specific audience, not posted to Internet/Intranet due to a
Confidentiality of Instruction
Ouartcrly Update to Home Health (HH) Grouper
Update to the Internet Only Manual (!OM) Publication 100-04, Chapters 3
and 17
Summary of Policies in the Calendar Year (CY) 2022 Medicare Physician Fee
Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee
Payment Amount and Telehealth Services List, CT Modifier Reduction List,
and Preventive Services List
Implement Operating Rules - Phase III Electronic Remittance Advice (ERA)
Electronic Funds Transfer (EFT): Committee on Operating Rules for
Information Exchange (CORE) 360 Uniform Use of Claim Adjustment
Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and
Claim Adjustment Group Code (CAGC) Rule - Update from Council for
Affordable Ouality Healthcare (CAOH) CORE
January 2022 Integrated Outpatient Code Editor (1/OCE) Specifications
Version 23.0
January 2022 Update of the Hospital Outpatient Prospective Payment System
(OPPS)
General Coding and Dilling Instructions and Explanations
Explanations of Terms
Complete List of Device Pass-through Category Codes
Explanations of Certain Terms/Definitions Related to Device Pass-Through
Category Codes
Billing for Allogeneic Stem Cell Transplants
ECRS Updates to the Prescription Drug Assistance Request (PDAR) Fields;
Medicare Secondary Payer Future Date Fields; Electronic File
Transfer ~faming Convention; Updated ICD-10 Diagnosis Codes for NoFault Plan Insurance Type D and the Addition of Reason Code 94
Attachment 1 - ECRS Web User Guide, Software Version 6.7
Attachment 2 - ECRS Web Ouick Reference Card Version 2021/1 October
Issued to a specific audience, not posted to Internet/Intranet due to a
Confidentiality of Instruction
Issued to a specific audience, not posted to Internet/Intranet due to a
Confidentiality of Instruction
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17:29 Feb 08, 2022
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Issued to a specific audience, not posted to Internet/Intranet due to a
Confidentialitv of Instruction
Issued to a specific audience, not posted to Internet/Intranet due to a
Confidentialitv of Instruction
Calendar Year (CY) 2022 Participation Enrollment and Medicare
Participating Physicians and Suppliers Directory (MEDPARD) Procedures
Revision to Chapter 3 to Update Instructions for Handling Inpatient
Rehabilitation Facility (!RF) Claims
Shared Systems and CWF Edit~ Actions When a Claim Does Not Match the
Jnpatient Rehabilitation Facility-Patient Assessment Instrument ORF-P Al)
Issued to a specific audience, not posted to Internet/Intranet due to a
Confidentiality of Instruction
Issued to a specific audience, not posted to Internet/Intranet due to a
Confidentialitv of Instruction
Issued to a specific audience, not posted to Internet/Intranet due to a
Confidentialitv of Instruction
Issued to a specific audience, not posted to Internet/Intranet dne to a
Confidentiality of Instruction
Issued to a specific audience, not posted to Internet/Intranet due to a
Confidentiality of Instruction
Issued to a specific audience, not posted to Internet/Intranet due to a
Coniidenlialily of Instruction
Issued to a specific audience, not posted to Internet/Intranet due to a
Confidentiality of Instruction
File Conversions Related to the Spanish Translation of the Healthcare
Common Procedure Coding Svstem (HCPCS) Descriptions
Claims Processing Instructions for the New Pneumococcal 20-valent
Coniugate Vaccine Code 90677
Issued to a specific audience, not posted to Internet/Intranet due to a
Confidentialitv of Instruction
Implementation of the GV Modifier for Rural Health Clinics (RHCs) and
Federally Qualified Health Centers (FQHCs) for Billing Hospice Attending
Phvsician Services
2022 Annual Update of Per-Beneficiarv Threshold Amounts
Skilled Nursing facility (SNF) Claims Processing Updates
Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code
(CARC), Medicare Remit Easv Print (MREP) and PC Print Update
Update to the Internet Only Manual (!OM) Publication (Pub.) 100-04,
Chapter 3, Sections 90.1.2, 90.3, 90.3.1, and Addendum A Provider Specific
File
Provider Specific File
Billing for Kidney Transplant and Acquisition Services
Stem Cell Transplantation
Allogeneic for Stem Cell Transplantation
Instructions for Retrieving the January 2022 Medicare Physician Fee
Schedule Database (MPFSDB) Files Through the CMS Mainframe
Telecommunications Svstem
Summary of Policies in the Calendar Year (CY) 2022 Medicare Physician Fee
Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee
Payment Amount and Telehealth Services List, CT Modifier Reduction List,
and Preventive Services List
April 2022 Healthcare Common Procedure Coding System (HCPCS)
Ouarterlv Update Reminder
Shared System Support Hours for Application Programming Interfaces (APis)
2022 Annual Update to the Theranv Code List
National Coverage Determination (NCD) 270.3 Blood-Derived Products for
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Issued to a specific audience, not posted to Internet/Intranet due to a
Confidentialitv of Instruction
Restructuring of Section 10.4 in Chapter 10 of Publication (Pub.) 100-08
10.2.3/Individual Practitioners Who Enroll Via the Form CMS-855I
Medicare Enrollment - Contractor Processing Duties and Related Polic
General Processing Functions
Overview of the Process
Receipt of Application
Review of Application
Initial Steps of Review of Application
Data Verification
Requesting Missing/Clarifying Data/Documentation (Development)
Receiving Missing/Clarifying Data/Documentation (Response to
Development
Provider/Supplier Fails to Submit Requested Data/Documentation
Application Disposition
Approval
Retums
Rejections
Denial
Denials - General Principles
Denial Reasons
Additional Denial Policies
Voluntary and Involuntary Terminations
Changes of Information
Revalidations
Revalidation Solicitations
Non-Responses to Revalidation and Extension Requests
Receipt and Processing of Revalidation Applications
Reactivations
Revocations
Revocations - Background and General Requirements
Revocation Effective Dates
Revocation Reasons
Reenrollment Bar
Additional Revocation Policies
Deactivations
Deactivation Rebuttals
Issued to a specific audience, not posted to Internet/Intranet due to a
Confidentiality of Instruction
Updates to Chapters 1, 3, 4, 5, 8 and 9 of Publication (Pub.) 100-08
Quality of Care Issues and Potential Fraud Issues
Provider Self Audits
Signature Requirements
Introduction
Definitions
Medicare Program Integrity
Program Integrity Contractors
Unified Program Integrity Contractor
Investigations Medicare Drug Integrity Contractor
Organizational Requirements
Training for Law Enforcement Organizations
Liability of Program Integrity Contractor Employees
Anti-Fraud Training
Training for Law Enforcement Organizations
Procedural Requirements
Maintain Controlled Filing System and Documentation
Revisions to Certified Provider/Supplier Model Letters and Instructions for
Processing Initial Skilled Nursing Facility (SNF) Enrollment Applications
Issued lo a specific audience, not posted lo Internet/Intranet due lo
Confidentiality of Instructions
Issued to a specific audience, not posted to Internet/Intranet due to
Confidentiality oflnstructions
Issued to a specific audience, not posted to Internet/Intranet due to
Confidentiality of Instructions
Issued to a specific audience, not posted to Internet/Intranet due to
Confidentiality of Instructions
Issued to a specific audience, not posted to Internet/Intranet due to
Confidentialitv of Instructions
Issued lo a specific audience, not posted lo Internet/Intranet due lo
Confidentiality of Instructions
Issued to a specific audience, not posted to Internet/Intranet due to
Confidentialitv oflnstructions
Issued to a specific audience, not posted to Internet/Intranet due to
Confidentiality of Instructions
Update to Enrollment Processing Requirements for Certified
Provider/Supplier Change of Ownership (CHOW) and Change of Information
(COi) Application
Issued to a specific audience, not posted to Internet/Intranet due to
Confidenlialitv oflnstructions
Issued to a specific audience, not posted to Internet/Intranet due to
Confidentialitv of Instructions
Issued to a specific audience, not posted to Internet/Intranet due to
Confidentialitv of Instructions
Incorporation of Recent Provider Enrollment Regulatory Changes into
Chapter 10 of CMS Publication (Pub.) 100-08
Definitions
Federally Qualified Health Centers (FQHCs)
Home Health Agencies (HHAs)
Independent Diagnostic Testing Facilities (IDTFs
Physician Assistants
Retums
Rejections
Denial Reasons
Additional Denial Policies
Reactivations
Revocation Reasons
Reenrollment Dar
Federal Register / Vol. 87, No. 27 / Wednesday, February 9, 2022 / Notices
17:29 Feb 08, 2022
11124
Notice of New Interest Rate for Medicare Overpayments and Underpayments
-1st Otr Notification for FY 2022
The Fiscal Intermediary Shared System (FISS) Submission of Copybook Files
to the Provider and Statistical Reimbursement (PS&R) Svstem
Issued to a specific audience, not posted to Internet/Intranet due to a
Confidentialitv of Instruction
Updates to Medicare Financial ~1anagement Manual Chapter 3, Section 140.1
Bankruptcv Forms
Fiscal Year 2022 Updates for the CMS Internet Only Manual (IOM)
Publication (Pub.) 100-06, Medicare Financial Management Manual, Chapter
7 - Intemal Control Reauirements
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11068
11076
11078
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None
PO 00000
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11096
None
11098
11100
11103
None
None
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11110
None
11123
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11030
11053
E:\FR\FM\09FEN1.SGM
11067
11071
11108
11128
11143
09FEN1
11145
11010
11025
11033
11047
11054
EN09FE22.004
The Supplemental Security Income (SSI)/Medicare Beneficiary Data for
Fiscal Year (FY) 2019 for Inpatient Prospective Payment System (IPPS)
Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long-Term Care
Hospitals (LTCHs)
11060
Issued to a specific audience, not posted to Intecnet/Intranet due to Sensitivity
of Instructions
Issued to a specific audience, not posted to Intecnet/Intranet due to Sensitivity
oflnstructi ans
Intravenous Immune Globulin (IVIG) Demonstration Update for a New Drug
Code J1554 ASCENIV
Modifications/Improvements to Value-Based Insurance Design (VBID)
Model - Implementation
Managing Clinician PPA and KCF PEA Implementation
ESRD Treatment Choices (ETC) Model Performance Payment Adjustment
(PPA) - Facility Component (Implementation CR)
Intravenous Immune Globulin (IVIG) Demonstration: Payment Update for
2022
Issued to a specific audience, not posted to Intecnet/Intranet due to Sensitivity
oflnstructi ons
Mobile Personal Identity Verification (PIV) Station Installation
International Classification of Diseases, 10th Revision (ICD-10) and Other
Coding Revisions to National Coverage Determination (NCDs)--January
2022
Implementation of the Award for the Jurisdiction L (J-L) Part A and Part B
Medicare Administrative Contractor (JL AIB MAC)
Correct Processing of Home Health Claims if the Request for Anticipated
Payment (RAP) or cl2014
11153
Deactivations
Deactivation Rebuttals
Establishing Effective Dates
Opting-Out of Medicare
Application Fees
Issued to a specific audience, not posted to Intecnet/Intranet due to
Confidentialitv of Instructions
Incorporation of Rcccnt Provider Enrollment Regulatory Changes into
Chanter IO of CMS Publication (Pub.) 100-08
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For questions or additional information, contact Terri Plumb
(410-786-4481).
Sfmt 4725
E:\FR\FM\09FEN1.SGM
09FEN1
Addendum m: CMS Rulings
(October through December 2021)
CMS Rulings are decisions of the Administrator that serve as
precedent final opinions and orders and statements of policy and
interpretation. They provide clarification and interpretation of complex or
ambiguous provisions of the law or regulations relating to Medicare,
Medicaid, Utilization and Quality Control Peer Review, private health
insurance, and related matters.
The rulings can be accessed at htt;p://www.crns.gov/Regulationsand-Guidance/Guidance/Rulings. For questions or additional information,
contact Tiffany Lafferty (410-786-7548).
Title
Transvenous Pulmonary
Embolcctomv (TPE) 240.6
National Coverage
Determination (NCD)
220.6.19, Positron Emission
Tomography NaF-18 (NaF18 PET) to Identify Bone
Metastasis of CancerManual Update Onlv
NCDM
Section
Transmittal
Number
Issue Date
Effective
Date
NCD240.6
ID9875
12/16/2021
10/28/2021
NCD
220.6.19
11158
12/17/2021
01/19/2021
Addendum V: FDA-Approved Category B Tnvestigational Device
Exemptions (IDEs) (October through December 2021)
(Inclusion of this addenda is under discussion internally.)
Addendum VT: Approval Numbers for Collections of Information
(October through December 2021)
All approval numbers are available to the public at Reginfo.gov.
Under the review process, approved information collection requests are
assigned 0MB control numbers. A single control number may apply to
several related information collections. This information is available at
www.reginfo.gov/public/do/PRAMain. For questions or additional
information, contact William Parham (410-786-4669).
Addendum VII: Medicare-Approved Carotid Stent Facilities
(October through December 2021)
Addendum VII includes listings of Medicare-approved carotid
stent facilities. All facilities listed meet CMS standards for performing
carotid artery stenting for high risk patients. On March 17, 2005, we issued
our decision memorandum on carotid artery stcnting. W c determined that
carotid artery stenting with embolic protection is reasonable and necessary
only if performed in facilities that have been determined to be competent in
performing the evaluation, procedure, and follow-up necessary to ensure
optimal patient outcomes. We have created a list of minimum standards for
7465
Addendum IV: Medicare National Coverage Determinations
(October through December 2021)
Addendum IV includes completed national coverage
determinations (NCDs), or reconsiderations of completed NCDs, from the
quarter covered by this notice. Completed decisions are identified by the
section of the NCD Manual (NCDM) in which the decision appears, the
title, the date the publication was issued, and the effective date of the
decision. An NCD is a determination by the Secretary for whether or not a
particular item or service is covered nationally under the Medicare Program
(title XVIII of the Act), but does not include a determination of the code, if
any, that is assigned to a particular covered item or service, or payment
determination for a particular covered item or service. The entries below
include information concerning completed decisions, as well as sections on
program and decision memoranda, which also announce decisions or, in
some cases, explain why it was not appropriate to issue an NCD.
Information on completed decisions as well as pending decisions has also
been posted on the CMS website. For the purposes of this quarterly notice,
we are providing only the specific updates to national coverage
determinations (NCDs), or reconsiderations of completed NCDs published
in the 3-month period. This information is available at
www.crns.gov/medicare-coverage-database/. For questions or additional
information, contact Wanda Belle, MPA (410-786-7491).
Federal Register / Vol. 87, No. 27 / Wednesday, February 9, 2022 / Notices
17:29 Feb 08, 2022
EN09FE22.005
Addendum II: Regulation Documents Published
in the Federal Register (October through December 2021)
Regulations and Notices
Regulations and notices are published in the daily Federal
Register. To purchase individual copies or subscribe to the Federal
Register, contact GPO at www.gpo.gov/fdsys. When ordering individual
copies, it is necessary to cite either the date of publication or the volume
number and page number.
The Federal Register is available as an online database through
GPO Access. The online database is updated by 6 a.m. each day the
Federal Register is published. The database includes both text and
graphics from Volume 59, Number 1 (January 2, 1994) through the present
date and can be accessed at https://www.gpoaccess.gov/fr/. The
following website https://www.archives.gov/federal-register/ provides
information on how to access electronic editions, printed editions, and
reference copies.
This information is available on our website at:
https://www.cms.gov/fi1es/document/regs4q2lqpu.pdf
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Provider
Number
Date
Approved
State
Berkeley Medical Center
2500 Hospital Drive
Martinsburg, WV 25401
CGH Medical Center
100 E Lefevre Road
Sterling, IL 61081
Lee's Summit Medical Center
2100 SE Blue Parkway
Lee's Summit, MO 64043
McKenzie Willamette Medical Center
1460 G Street Provider
Springfield, OR 97477
Raleigh General Hospital
1710 Harper Road
Becklev, WV 25801
Faith Regional Health Services
2700 W. Norfolk Avenue
Norfolk, NE 68701
510008
10/12/2021
WV
E:\FR\FM\09FEN1.SGM
09FEN1
FROM: St. Joseph Hospital
TO: PeaceHealth St. Joseph Medical
Center
2901 Squalicum Parkway
Bellingham WA 98264
FROM: Sacred Heart Medical
Center at RiverBend
TO: PeaceHealth Sacred Heart
Riverbend Medical Center
3311 RiverBend Drive
Snringfield OR 97477
FROM: Western Baptist Hospital
TO: Baptist Health Paducah
2501 Kentucky Avenue
Paducah, KY 42003
FROM: St. John Hospital and
Medical Center
TO: Ascension St. John Hospital
22101 Moross Road
Detroit MI 48236
FROM: Huntsville Health System Marshall, LLC
140043
10/12/2021
IL
260190
09/27/2021
MO
380020
10/15/2021
OR
510070
12/07/2021
WV
280125
12/14/2021
NE
500030
09/28/2005
WA
380102
02/19/2009
OR
180104
05/05/2005
KY
230165
04/27/2005
MI
010005
09/21/2021
AL
TO: HH Health System - Marshall,
LLC
2505 431 Highway
North Boaz AL 35957
FROM: North Hills
TO: Medical City North Hills
4401 Booth Calloway Road
North Richland Hills, TX 76180
FROM: Carillon Roanoke Memorial
Hospital
TO: Roanoke Memorial Hospital
1906 Belleview Avenue
Roanoke, VA 24014
Provider
Number
Date
Approved
State
450087
01/24/2006
TX
490024
09/06/2005
VA
Addendum Vlll:
American College of Cardiology's National Cardiovascular Data
Registry Sites (October through December 2021)
The initial data collection requirement through the American
College of Cardiology's National Cardiovascular Data Registry (ACCNCDR) has served to develop and improve the evidence base for the use of
I CDs in certain Medicare beneficiaries. The data collection requirement
ended with the posting of the fmal decision memo for Implantable
CardiovertcrDefibrillators on February 15, 2018.
For questions or additional information, contact Sarah Fulton,
MHS (410-786-2749).
Addendum IX: Active CMS Coverage-Related Guidance Documents
(October through December 2021)
CMS issued a guidance document on November 20, 2014 titled
"Guidance for the Public, Industry, and CMS Staff: Coverage with
Evidence Development Document". Although CMS has several policy
vehicles relating to evidence development activities including the
investigational device exemption (IDE), the clinical trial policy, national
coverage determinations and local coverage determinations, this guidance
document is principally intended to help the public understand CMS' s
implementation of coverage with evidence development (CED) through the
national coverage determination process. The document is available at
https://www.cms.gov/medieare-coverage-database/details/medicarecoverage-document-details.aspx?MCD1d=27. There are no additional
Active CMS Coverage-Related Guidance Documents for the 3-month
period. For questions or additional information, contact
JoAnna Baldwin, MS (410-786-7205).
AddendumX:
List of Special One-Time Notices Regarding National Coverage
Provisions (October through December 2021)
Federal Register / Vol. 87, No. 27 / Wednesday, February 9, 2022 / Notices
17:29 Feb 08, 2022
Facility
Facility
7466
VerDate Sep<11>2014
EN09FE22.006
facilities modeled in part on professional society statements on competency.
All facilities must at least meet our standards in order to receive coverage
for carotid artery stenting for high risk patients. For the purposes of this
quarterly notice, we are providing only the specific updates that have
occurred in the 3-month period. This information is available at:
https://www.ems.gov/MedicareApprovedFacilitie/CASF/list.asp#TopOfPage
For questions or additional information, contact Sarah Fulton, MHS
(410-786-2749).
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VerDate Sep<11>2014
Addendum XI: National Oncologic PET Registry (NOPR)
(October through December 2021)
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Addendum XI includes a listing of National Oncologic Positron
Emission Tomography Registry (NOPR) sites. We cover positron emission
tomography (PET) scans for particular oncologic indications when they are
performed in a facility that participates in the NOPR.
In January 2005, we issued our decision memorandum on positron
emission tomography (PET) scans, which stated that CMS would cover
PET scans for particular oncologic indications, as long as they were
performed in the context of a clinical study. We have since recognized the
National Oncologic PET Registry as one of these clinical studies.
Therefore, in order for a beneficiaty to receive a Medicare-covered PET
scan, the beneficiary must receive the scan in a facility that participates in
the registry. There were no additions, deletions, or editorial changes to the
listing of National Oncologic Positron Emission Tomography Registry
(NOPR) in the 3-month period. This information is available at
https://www.cms.gov/MedicareApprovedFacilitie/NOPR/list.asp#TopOfPage.
For questions or additional information, contact David Dolan, MBA (410786-3365).
E:\FR\FM\09FEN1.SGM
Addendum XII: Medicare-Approved Ventricular Assist Device
(Destination Therapy) Facilities (October through December 2021)
09FEN1
Date of Recertification
Facility
Provider
Number
Date of Initial
Certification
State
Summa Health
525 E. Market Street
Akron, OH 44309
360020
11/16/2021
240057
11/16/2010
07/28/2021
MN
490059
12/15/2011
06/11/2021
VA
390223
10/05/2010
07/29/2021
PA
090001
09/12/2018
07/10/2021
DC
OH
Other information:
DNV Certificate #:
10000496174-MSC-DNVUSA
Previous Re-certification
Dates: n/a
Abbott Northwestern Hospital
800 East 28th Street
Minneapolis, MN 55407
Other information:
Joint Commission ID# 8149
Previous Re-certification
Dates:
lli16/2010; lli29/2012;
lli18/2014; 12/06/2016;
2/13/2019
Bon Secours St. Mary's
Hospital
5801 Bremo Road
Riclunond, VA 23226
Joint Commission ID # 6387
Previous Re-certification
Dates:
12i15/2011; 12/17/2013;
0li26/2016; 02/21/2018
Presbyterian Medical Center of
theUPHS
51 North 39th Street
Philadelphia, PA 19104
Other information:
Joint Commission ID# 6145
Previous Re-certification
Dates:
07i22/2010; 07/20/2012;
06i17/2014· 07/19/2016
The George Washington
University Hospital
900 23rd Street. NW
7467
Addendum XII includes a listing of Medicare-approved facilities
that receive coverage for ventricular assist devices (VADs) used as
destination therapy. All facilities were required to meet our standards in
order to receive coverage for VADs implanted as destination therapy. On
October 1, 2003, we issued our decision memorandum on VADs for the
clinical indication of destination U1erapy. We detennined Uiat VADs used
as destination therapy are reasonable and necessary only if performed in
facilities that have been detennined to have the experience and
infrastructure to ensure optimal patient outcomes. We established facility
standards and an application process. All facilities were required to meet
our standards in order to receive coverage for VADs implanted as
destination therapy.
For the purposes of this quarterly notice, we are providing only the
specific updates to the list of Medicare-approved facilities that meet our
standards that have occurred in the 3-month period. This information is
available at
https://www.cms.gov/MedicareApprovedFacilitieNAD/list.asp#TopOfPage.
For questions or additional information, contact David Dolan, MBA,
(410-786-3365).
Federal Register / Vol. 87, No. 27 / Wednesday, February 9, 2022 / Notices
17:29 Feb 08, 2022
EN09FE22.007
There were no special one-time notices regarding national
coverage provisions published in the 3-month period. This information is
available at https://www.cms.gov. For questions or additional information,
contact Jo Anna Baldwin, MS (410-786 7205).
lotter on DSK11XQN23PROD with NOTICES1
Provider
Number
Date of Initial
Certification
Date of Recertification
State
Washington, UC 20037
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E:\FR\FM\09FEN1.SGM
09FEN1
Date of Initial
Certification
Date of Recertification
State
Other information:
Joint Commission ID # 6310
360180
12/03/2003
08/05/2021
OH
490032
04/08/2004
08/07/2021
VA
330285
10/29/2003
07/21/2021
NY
310073
10/16/2018
10/14/2021
NJ
Joint Commission ID # 7029
Previous Re-certification
Dates:
9/12/2018
Robert Wood Johnson
University Hospital
One Robert Wood Johnson
Place
New Brunswick, NJ 089032601
310038
07/22/2010
07/08/2021
NJ
Previous Re-certification
Dates:
04/14/2006; 11/18/2008;
10/22/2010; 10/23/2012;
10/03/2014; 10/28/2016;
10/24/2018
Cleveland Clinic
9500 Euclid Avenue NA-4
Cleveland, OH 44195
Joint Commission ID # 5969
Previous Re-certification
Dates:
07/22/2010; 07/20/2012;
06/17/2014· 07/19/2016
TriStar Centennial Medical
Center
2300 Patterson Street
Nashville, TN 37203
Other information:
Joint Commission ID# 7001
440161
12/12/2018
08/19/2021
1N
Joint Commission ID # 7888
Previous Re-certification
Dates: 12/12/2018
University of Maryland
Medical Center
22 South Greene Street
Baltimore, MD 21201-1595
210002
09/16/2008
07/03/2021
MD
Previous Re-certification
Dates: 10/25/2016;1 l/15/2018
Ohio State University
Hospitals
Other information:
Joint Commission ID# 6381
Previous Re-certification
Dates:
11/04/2008; 12/14/2010;
12/21/2012; 12/16/2014;
02/14/2017· 4/10/2019
Strong Memorial Hospital
601 Elmwood Avenue
Rochester, NY 14642
Other information:
Joint Commission ID # 6264
Previous Re-certification
Dates:
09/16/2008; 08/25/2010;
08/15/2012; 08/19/2014;
09/20/2016; 9/26/2018
NorthShore University Health
System
1301 Central Street, Suite 300
Evanston, IL 6020 I
Previous Re-certification
Dates:
10/28/2008; 11/23/201 O;
12/11/2012; 12/02/2014;
11/08/2016' 12/12/2018
Virginia Commonwealth
University Health System
1250 East Marshall Street
Riclunond, VA 23298-0510
Other information:
Joint Commission ID# 5856
140010
10/25/2016
08/06/2021
IL
360085
11/12/2003
08/04/2021
OH
Previous Re-certification
Dates:
10/29/2003; 06/17/2008;
07/02/2010; 06/06/2012;
05/13/2014; 07/26/2016;
7/25/2018
Jersey Shore University
Medical Center
1945 Route 33
Neptune City, NJ 07753
Federal Register / Vol. 87, No. 27 / Wednesday, February 9, 2022 / Notices
17:29 Feb 08, 2022
Provider
Number
410 West Tenth Avenue, UN
168
Columbus, OH 43210
Other information:
Joint Commission ID # 7343
EN09FE22.008
Facility
7468
VerDate Sep<11>2014
Facility
lotter on DSK11XQN23PROD with NOTICES1
VerDate Sep<11>2014
Facility
Provider
Number
Date of Initial
Certification
Date of Recertification
State
Advocate Christ Medical
Center
4440 W. 95th Street
Oak Lawn, IL 60453
140208
09/08/2015
10/21/2021
IL
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280003
03/05/2013
09/22/2021
NE
Frm 00048
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E:\FR\FM\09FEN1.SGM
09FEN1
010033
12/09/2008
08/21/2021
AL
Previous Re-certification
Dates:
12/09/2008; 04/22i2011;
04/09/2013; 04/07i2015;
05/16/2017· 7/3/2019
Dignity Health
350 West Thomas Road
Phoenix, AZ 85013
030024
05/08/2019
08/19/2021
AZ
220086
04/25/2017
11/04/2021
MA
Previous Re-certification
Dates:
5/8/2019
Fresno Community Hospital
and Medical Center
2823 Fresno St.
Fresno, CA 93721
050060
11/04/2014
08/11/2021
CA
230053
10/30/2008
07/29/2021
MI
Other infonuation:
Joint Commission ID# 9832
380091
09/13/2016
10/27/2021
OR
Previous Re-certification
Dates:
11/04/2014; 12/13i2016;
2/13i2019
FROM: Henry Ford Hospital
TO: Henry Ford Health
System
2799 West Grand Boulevard
Detroit, MI 48202
Other infonuation:
Joint Commission ID# 7485
330194
08/23/2012
10/27/2021
NY
7469
EN09FE22.009
Previous Re-certification
Dates:
08/23/2012; 07/29i2014;
09/13/2016' 10/lli2018
University of Alabama at
Birmingham
619 19th S. South
Birmingham, AL 35249-1900
Other information:
Joint Commission ID # 9494
Other information:
Joint Commission ID# 4858
Previous Re-certification
Dates:
09/13/2016; 09/19/2018
Maimonides Medical Center
4802 Tenth Avenue
State
Other infonuation:
Joint Commission ID# 2814
Other information:
Joint Commission ID# 5501
Previous Re-certification
Dates:
04/25/2017; 05/22/2019
FROM: Kaiser Sunnyside
Medical Center
TO: Kaiser Foundation
Hospital - Sunnyside
10180 SE Sunnyside Road
Clackamas, OR 97015-9303
Date of Recertification
Other infonuation:
Joint Commission ID# 5734
Other infonuation:
Joint Commission ID # 244330
Previous Re-certification
Dates:
03/05/2013; 02/12/2015;
04/18/2017; 07/17/2019
Beth Israel Deaconess Medical
Center
330 Brookline Avenue
Boston, MA 02215
Date of Initial
Certification
Brooklyn, NY 11219-2916
Other information:
DNV GL Certificate #
10000504196-MSC-DNVUSA
Previous re-certification dates:
10/01/2018
Bryan Medical Center
1600 South 48th Street
Lincoln, NE 68506
Provider
Number
Federal Register / Vol. 87, No. 27 / Wednesday, February 9, 2022 / Notices
17:29 Feb 08, 2022
Other information:
DNV GL Certificate #
10000502976-MSC-DNVUSA
Facility
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Date of Recertification
State
Jkt 256001
PO 00000
Frm 00049
Previous Re-certification
Dates:
12/02/2008; 01/19/201 l;
02/13/2013; 01/06/2015;
02/28/2017· 5/22/2019
Rochester General Hospital
1425 Portland Ave
Rochester, NY 14621
220071
12/02/2008
10/14/2021
Fmt 4703
Sfmt 4725
E:\FR\FM\09FEN1.SGM
09FEN1
Previous Re-certification
Dates: 01/16/2009;
06/30/2011; 06/04/2013;
Date of Initial
Certification
Date of Recertification
State
280013
01/20/2011
09/09/2021
NE
420018
03/06/2013
10/08/2021
SC
Other information:
Joint Co11l11lission ID# 186313
Previous Re-certification
Dates:
01/20/2011; 01/29/2013;
02/24/2015; 02/14/2017;
4/17/2019
FROM: Palmetto Health
TO: Prisma Health Richland
5 Richland Medical Park Drive
Columbia, SC 29203
330125
10/29/2018
10/28/2021
NY
Other information:
Joint Co11l11lission ID # 6588
Previous Re-certification
Dates:
03/06/2013; 04/21/2015;
06/06/2017; 6/28/2019
330393
03/02/2011
09/17/2021
NY
340030
10/31/2003
09/22/2021
NC
Other information:
Joint Co11l11lission ID# 5188
Previous Re-certification
Dates:
01/30/2013; 01/15/2015;
03/14/2017; 05/08/2019
FROM: Duke University
Hospital
TO: Duke University Health
System, Inc
2301 Erwin Road
Dmham, NC 27710
Provider
Number
MA
Other information:
DNV certificate #:
10000504804-MSC-DNVUSA
Previous Re-certification
Dates: 10/29/2018
University Hospital (Stony
Brook)
Health Sciences Center Stony
Brook
Stony Brook, NY 11794-8503
Facility
05/05/2015; 06/13/2017;
08/21/2019
Nebraska Medical Center
4350 Dewey Avenue
Omaha, NE 68198-7400
Other information:
Joint Co11l11lission ID# 5513
Other information:
Joint Co11l11lission ID # 6490
EN09FE22.010
Date of Initial
Certification
Addendum XIII: Lung Volume Reduction Surgery (LVRS)
(October through December 2021)
Addendum XIII includes a listing of Medicare-approved facilities
that are eligible to receive coverage for lung volume reduction surgery.
Until May 17, 2007, facilities that pruticipated in the National Emphysema
Treatment Trial were also eligible to receive coverage. The following three
types of facilities are eligible for reimbursement for Lung Volume
Reduction Surgery (LVRS):
• National Emphysema Treatment Trial (NETT) approved (Beginning
05/07/2007, these will no longer automatically qualify and can qualify only
with the other programs);
• Credentialed by the Joint Commission (formerly, the Joint
Commission on Accreditation of Healthcare Organizations (JCAHO)) under
their Disease Specific Certification Program for L VRS; and
• Medicare approved for lung transplants.
Only the first two types are in the list There were no updates to
the listing of facilities for lung volume reduction surgeiy published in the
3-month period. This information is available at
www.cms.gov/MedicareApprovedFacilitie/LVRS/listasp#TopOfPage. For
questions or additional information, contact Sarah Fulton, MRS
(410-786-2749).
Federal Register / Vol. 87, No. 27 / Wednesday, February 9, 2022 / Notices
17:29 Feb 08, 2022
Previous Re-certification
Dates:
10/30/2008; 10/21/2010;
11/06/2012; 10/28/2014;
12/20/2016; 3/13/2019
The General Hospital
Corporation
55 Fruit Street
Roston, MA 02114
Provider
Number
7470
VerDate Sep<11>2014
Facility
lotter on DSK11XQN23PROD with NOTICES1
Federal Register / Vol. 87, No. 27 / Wednesday, February 9, 2022 / Notices
[FR Doc. 2022–02677 Filed 2–8–22; 8:45 am]
BILLING CODE 4120–01–C
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–1774–PN]
Medicare Program; Announcement of
Request for an Exception to the
Prohibition on Expansion of Facility
Capacity Under the Hospital
Ownership and Rural Provider
Exceptions to the Physician SelfReferral Prohibition
AGENCY: Centers for Medicare &
Medicaid Services (CMS), HHS.
Notice with request for
comment.
ACTION:
17:29 Feb 08, 2022
Jkt 256001
owned hospital for an exception to the
prohibition on expansion of facility
capacity. This notice solicits comments
on the request from individuals and
entities in the community in which the
hospital is located. Community input
may inform our determination regarding
whether the requesting hospital
qualifies for an exception to the
prohibition on expansion of facility
capacity.
Frm 00050
Fmt 4703
Sfmt 4703
09FEN1
7471
3. By express or overnight mail. You
may send written comments to the
following address ONLY: Centers for
Medicare & Medicaid Services,
Department of Health and Human
Services, Attention: CMS–1774–PN,
Mail Stop C4–26–05, 7500 Security
Boulevard, Baltimore, MD 21244–1850.
For information on viewing public
comments, see the beginning of the
SUPPLEMENTARY INFORMATION section.
FOR FURTHER INFORMATION CONTACT:
POH-ExceptionRequests@cms.hhs.gov.
SUPPLEMENTARY INFORMATION: Inspection
of Public Comments: All comments
received before the close of the
comment period are available for
viewing by the public, including any
personally identifiable or confidential
business information that is included in
a comment. We post all comments
received before the close of the
comment period on the following
website as soon as possible after they
have been received: https://
www.regulations.gov. Follow the search
instructions on that website to view
public comments. CMS will not post on
Regulations.gov public comments that
make threats to individuals or
institutions or suggest that the
individual will take actions to harm the
individual. CMS continues to encourage
individuals not to submit duplicative
comments. We will post acceptable
comments from multiple unique
E:\FR\FM\09FEN1.SGM
DATES: To be assured consideration,
comments must be received at one of
the addresses provided below, by March
11, 2022.
ADDRESSES: In commenting, refer to file
code CMS–1774–PN.
Comments, including mass comment
submissions, must be submitted in one
of the following three ways (please
choose only one of the ways listed):
1. Electronically. You may submit
electronic comments on this regulation
to https://www.regulations.gov. Follow
the ‘‘Submit a comment’’ instructions.
2. By regular mail. You may mail
written comments to the following
address ONLY: Centers for Medicare &
Medicaid Services, Department of
Health and Human Services, Attention:
CMS–1774–PN, P.O. Box 8010,
Baltimore, MD 21244–1850.
Please allow sufficient time for mailed
comments to be received before the
close of the comment period.
PO 00000
SUMMARY: The Social Security Act
prohibits a physician-owned hospital
from expanding its facility capacity
unless the Secretary of the Department
of Health and Human Services grants
the hospital’s request for an exception to
that prohibition after considering input
on the request from individuals and
entities in the community where the
hospital is located. The Centers for
Medicare & Medicaid Services has
received a request from a physician-
VerDate Sep<11>2014
EN09FE22.011
Addendum XN: Medicare-Approved Bariatric Surgery Facilities
(October through December 2021)
Addendum XIV includes a listing of Medicare-approved facilities
that meet minimum standards for facilities modeled in part on professional
society statements on competency. All facilities must meet our standards in
order to receive coverage for bariatric surgery procedures. On February 21,
2006, we issued our decision memorandum on bariatric surgery procedures.
We determined that bariatric surgical procedures are reasonable and
necessary for Medicare beneficiaries who have a body-mass index (BMl)
greater than or equal to 35, have at least one co-morbidity related to obesity
and have been previously unsuccessful with medical treatment for obesity.
This decision also stipulated that covered bariatric surgery procedures are
reasonable and necessary only when performed at facilities that are: (1)
certified by the American College of Surgeons (ACS) as a Level 1 Bariatric
Surgery Center (program standards and requirements in effect on February
15, 2006); or (2) certified by the American Society for Bariatric Surgery
(ASBS) as a Bariatric Surgery Center of Excellence (ESCOE) (program
standards and requirements in effect on February 15, 2006).
There were no additions, deletions, or editorial changes to
Medicare-approved facilities that meet CMS' minimum facility standards
for bariatric surgery that have been certified by ACS and/or ASMBS in the
3-month period. This information is available at
www.cms.gov/MedicareApprovedFacilitie/BSF/list.asp#TopOfPage. For
questions or additional information, contact Sarah Fulton, MHS
(410-786-2749).
Addendum XV: FDG-PET for Dementia and Neurodegenerative
Diseases Clinical Trials (October through December 2021)
There were no FDG-PET for Dementia and Neurodegenerative
Diseases Clinical Trials published in the 3-month period.
This information is available on our website at
www.cms.gov/MedicareApprovedFacilitie/PETDT/list.asp#TopOfPage.
For questions or additional information, contact David Dolan, MBA (410786-3365).
Agencies
[Federal Register Volume 87, Number 27 (Wednesday, February 9, 2022)]
[Notices]
[Pages 7458-7471]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-02677]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-9133-N]
Medicare and Medicaid Programs; Quarterly Listing of Program
Issuances--October through December 2021
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: This quarterly notice lists CMS manual instructions,
substantive and interpretive regulations, and other Federal Register
notices that were published from July through September 2021, relating
to the Medicare and Medicaid programs and other programs administered
by CMS.
FOR FURTHER INFORMATION CONTACT: It is possible that an interested
party may need specific information and not be able to determine from
the listed information whether the issuance or regulation would fulfill
that need. Consequently, we are providing contact persons to answer
general questions concerning each of the addenda published in this
notice.
------------------------------------------------------------------------
Addenda Contact Phone No.
------------------------------------------------------------------------
I CMS Manual Instructions....... Ismael Torres..... (410) 786-1864
II Regulation Documents Terri Plumb....... (410) 786-4481
Published in the Federal
Register.
III CMS Rulings................. Tiffany Lafferty.. (410)786-7548
IV Medicare National Coverage Wanda Belle, MPA.. (410) 786-7491
Determinations.
V FDA-Approved Category B IDEs.. John Manlove...... (410) 786-6877
VI Collections of Information... William Parham.... (410) 786-4669
VII Medicare -Approved Carotid Sarah Fulton, MHS. (410) 786-2749
Stent Facilities.
VIII American College of Sarah Fulton, MHS. (410) 786-2749
Cardiology-National
Cardiovascular Data Registry
Sites.
IX Medicare's Active Coverage- JoAnna Baldwin, MS (410) 786-7205
Related Guidance Documents.
X One-time Notices Regarding JoAnna Baldwin, MS (410) 786-7205
National Coverage Provisions.
XI National Oncologic Positron David Dolan, MBA.. (410) 786-3365
Emission Tomography Registry
Sites.
XII Medicare-Approved David Dolan, MBA.. (410) 786-3365
Ventricular Assist Device
(Destination Therapy)
Facilities.
XIII Medicare-Approved Lung Sarah Fulton, MHS. (410) 786-2749
Volume Reduction Surgery
Facilities.
XIV Medicare-Approved Bariatric Sarah Fulton, MHS. (410) 786-2749
Surgery Facilities.
XV Fluorodeoxyglucose Positron David Dolan, MBA.. (410) 786-3365
Emission Tomography for
Dementia Trials.
All Other Information........... Annette Brewer.... (410) 786-6580
------------------------------------------------------------------------
SUPPLEMENTARY INFORMATION:
I. Background
The Centers for Medicare & Medicaid Services (CMS) is responsible
for administering the Medicare and Medicaid programs and coordination
and oversight of private health insurance. Administration and oversight
of these programs involves the following: (1) Furnishing information to
Medicare and Medicaid beneficiaries, health care providers, and the
public; and (2) maintaining effective communications with CMS regional
offices, state governments, state Medicaid agencies, state survey
agencies, various providers of health care, all Medicare contractors
that process claims and pay bills, National Association of Insurance
Commissioners (NAIC), health insurers, and other stakeholders. To
implement the various statutes on which the programs are based, we
issue regulations under the authority granted to the Secretary of the
Department of Health and Human Services under sections 1102, 1871,
1902, and related provisions of the Social Security Act (the Act) and
Public Health Service Act. We also issue various manuals, memoranda,
and statements necessary to administer and oversee the programs
efficiently.
Section 1871(c) of the Act requires that we publish a list of all
Medicare manual instructions, interpretive rules, statements of policy,
and guidelines of general applicability not issued as regulations at
least every 3 months in the Federal Register.
II. Format for the Quarterly Issuance Notices
This quarterly notice provides only the specific updates that have
occurred in the 3-month period along with a hyperlink to the full
listing that is available on the CMS website or the appropriate data
registries that are used as our resources. This is the most current up-
to-date information and will be available earlier than we publish our
quarterly notice. We believe the website list provides more timely
access for beneficiaries, providers, and suppliers. We also believe the
website offers a more convenient tool for the public to find the full
list of qualified providers
[[Page 7459]]
for these specific services and offers more flexibility and ``real
time'' accessibility. In addition, many of the websites have listservs;
that is, the public can subscribe and receive immediate notification of
any updates to the website. These listservs avoid the need to check the
website, as notification of updates is automatic and sent to the
subscriber as they occur. If assessing a website proves to be
difficult, the contact person listed can provide information.
III. How To Use the Notice
This notice is organized into 15 addenda so that a reader may
access the subjects published during the quarter covered by the notice
to determine whether any are of particular interest. We expect this
notice to be used in concert with previously published notices. Those
unfamiliar with a description of our Medicare manuals should view the
manuals at https://www.cms.gov/manuals.
The Director of the Office of Strategic Operations and Regulatory
Affairs of the Centers for Medicare & Medicaid Services (CMS), Kathleen
Cantwell, having reviewed and approved this document, authorizes
Trenesha Fultz-Mimms, who is the Federal Register Liaison, to
electronically sign this document for purposes of publication in the
Federal Register.
Trenesha Fultz-Mimms,
Federal Register Liaison, Department of Health and Human Services.
BILLING CODE 4120-01-C
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[FR Doc. 2022-02677 Filed 2-8-22; 8:45 am]
BILLING CODE 4120-01-C